An Enlarging Plaque

April 11, 2015
George Han, MD

Adam Friedman, MD, FAAD

What figures into your differential of a slowly enlarging asymptomatic plaque, like the one on this child's hand?

A 5-year-old girl presents with an asymptomatic, slowly enlarging plaque on her hand with a slightly depressed hyperpigmented central portion and a distinct rim.

What does this look like to you?